14-00500"

104- 10110- 10307,

« 2025 RELEASE UNDER TH
E PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

f- - NOTIFICATION: OF. ESTAE a SHMENT OR GANCEWeATION A.
OF OFFICIAL COVER BACKSTOP 10 JULY 197
ar CHIEF, CONTROL DIVISION, OP Cogan 3138. RETU

EMPLOYEE NUMBE! Sie CTU RORWISORS
*

DEN Wat oe

CHIEF, CONTRACT PERSONNEL DIVISION, OP

L ——— —— - ——| oF FICIAL
: - COVER

“KEEP ON TOP OF FILE WHILE COVER IN EFFECT

SUBMIT FORM 3254 _ —
TO BE ISSUED. (HHB 20-11)

x [x] etic COVER PROVIDES FD

EFFECTIVE DATE

OPERATIONAL COVER PROVIDED
FOR TOY OTHER (Specify)

SUBMIT FORM 642 IMMEDIATELY TO CHANGE TELEPHONE
CIMITATION CATEGORY TO CATEGORY.
(He 20-7)

LIMITATION CATEGORY TO CATEGORY_
(HHB 20-7) :
| [eAaa: CATEGORY | a CATEGORY f na

| [RETURN ALL OFFICIAL DOCUMENTATION TO CCS

SUBMIT FORM 2688 FOR
HOSPITALIZATION CARD.

po NOT WRITE IN THIS BLOCK -

SUBMIT FORM gosa_ SE TEL w- -2 TO BE ISSUED.
(HHB 20-11) qm

SUBMIT “FORM 1322 FOR ANY CHANGE AFFECTING THIS
COVER. (HR 240-2e)

SUBMIT FORM 1323 FOR TRANSFERRING COVER
RESPONSIBILITY. (HR 240-2¢)

° SUBMIT FORM 2688 FOR HL osplTALI ZATION CARD . so

REMARKS AND/OR COVER HISTORY

QT AUG S1-<AUG 62-T BOVE

AWG 62-JULY eT REME) a4 oi
STAT

JULY 67910 AUG T2-) te TY INES
1 SEPT JUGS TB S- no)

20 TUNE TTRIRTAAD CPR TE STAM)

DISTRIBUTION:
copy 1 - cp or CPD.
copy 2° . OPERATING COMPONENT,

SUBMIT FORM 642 IMMED [ATELY TO CHANGE TELEPHONE


